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<br />APPLICATION FOR PERMIT <br />CITY 01' ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />C"l\ QJ;{ J I ~ (.) / txJ <br /> <br />DATE RECEIVED c3;.-:< 9'- tJ U <br />PLANS REVIEW FEE <br /> <br />? <br />OWNER'S NAME J./~ /Iv;) t.J, /Z7 /'T <br />JOB ADDRESS ')fJ C:;-O 61..4LL ~L/L:J, <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br /><-'?")~?- --.,-'h7-?S~'~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # Il'Ch - Z,-~('){')n ~('jll/(JCJ - f')t1(") 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~ INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK /1IU-;-"'7'-LL r;.,rl/(JA/l. A?p/I.t!7Ndil Y:J2.." .L..v..?vS"_UJON/ ..sy~r:E/!/7 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION <br /> <br /> <br />,/--- <br />./ <br />FLORIDA POWER /;;J-W:R.E.'C~~J.(O <br />IC~:~~ <br /> <br /> <br />o BUILDING <br /> <br />$ <br /> <br />.'l.~ <br /> <br />~ t> DiY ,- <br />.. ." <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />--- <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />HBCHANICAL <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY ~ "//./j~~ L ~o/~~ <br />STATE CERT- OR R GIST # 4.,7()9 Onn/J/k ..? {J <br />CITY PROCESSING # S~ <br /> <br />OTHER <br />SIGNATURE c::?c ~-'~ <br />/- <br /> <br />***************************************************************** <br />